Douglas Alan Bates, LCSW, LISAC, ACHP-SW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16152 Issued in AZ

Practice address

3861 E Gleneagle PL
Chandler, AZ 85249-9443

Phone

(623) 695-3460

NPI assigned

Jul 6, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Guiding Star Mental Health

  • Community/Behavioral Health Agency
  • Antioch, TN
  • NPI 1518716414

  Multi-Specialty

  NPD
• Myrtle Recovery Centers, Inc.

  • Substance Abuse Rehabilitation Facility
  • Oneida, TN
  • NPI 1649951559
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1245726876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3861 E GLENEAGLE PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852499443",
            "telephone_number": "623-695-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3861 E GLENEAGLE PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852499443",
            "telephone_number": "623-695-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "DOUGLAS",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "LCSW, LISAC, ACHP-SW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "11481",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "28616",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "16152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• V. Renee Basnett, LASAC
• Nizette Basoco
• Kelsey Bass, LMFT
• Nelsonja Neswood Bastian
• Travis Bastow, PHARMD
• Jacquelyn Patrice Battle, LMSW
• Danielle Bauer, PHARMD
• Esther N Bauer, LPN
• Daniel Seth Baum, D.C.
• Kendra Alaine Bauman, O.T.

• Clinical Social Worker in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.